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Patient Educ Couns. 2006 Apr;61(1):99-108. Epub 2005 Oct 26.

Changes in personal control as a predictor of quality of life after pulmonary rehabilitation.

Author information

1
Northern Centre for Healthcare Research, NCH, University of Groningen Medical Center, Antonius Deusinglaan 1, P.O. Box 196, 9700 AD Groningen, The Netherlands. r.arnold@chir.umcg.nl

Abstract

OBJECTIVE:

Perceptions of mastery and self-efficacy may be related to better outcomes in pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). This study examined (1) whether patients with COPD improved during a rehabilitation programme with respect to quality of life (QoL) and perceptions of self-efficacy and mastery, and (2) whether increased perceptions of mastery and self-efficacy contributed to a higher QoL after rehabilitation.

METHODS:

Thirty-nine consecutive COPD patients (aged 60.5 +/- 9.0) were included from a rehabilitation centre and completed self-report questionnaires assessing symptoms, QoL, and perceptions of personal control.

RESULTS:

COPD patients improved during rehabilitation in overall QoL and self-efficacy, although no significant changes were found in QoL domains and mastery. Changes in self-efficacy during rehabilitation contributed to the explanation of the social and psychological functioning QoL domains.

CONCLUSION:

Even in seriously impaired COPD patients in advanced stages of illness, positive changes in self-efficacy and overall well-being can be established during rehabilitation. Changes in self-efficacy were related to a better QoL, suggesting the importance of personal control in the adjustment to COPD.

PRACTICE IMPLICATIONS:

Focussing more explicitly on the enhancement of perceptions of personal control in COPD patients may be an important aim of pulmonary rehabilitation.

PMID:
16256290
DOI:
10.1016/j.pec.2005.02.015
[Indexed for MEDLINE]

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